Quiz 11: Treatment of Chemical Dependency and Co-Occurring Conditions

In a study of more than 1,000 people, 43% reported problems with initial insomnia.

There are three distinct stages of sleep.

About 50% of our time is spent in stages 1 and 2.

Serotonin is necessary to help maintain sleep.

Patients with only terminal insomnia are more likely to have an affective disorder, as opposed to an anxiety disorder.

Benzos are safe to use and may be used for months without any real concerns for tolerance.

Since Ambien has a shorter half life than Restoril, it is more likely to wear-off by morning.

Benedryl can be used to induce sleep in intermittent cases.

A typical dose of Sonata is 80 mg qhs.

Kava may be associated with liver damage in long-term usage.

Long-term usage of melatonin may worsen a patient's depression.

GHB or Xyrem has been shown to improve Stage 3-4 sleep cycles.

Exposure to excessive light in the sleeping area, especially blue light from devices, may interfere with healthy sleep.

Suvorexant is an orexin antagonist.

Which of the following is not considered a benzodiazepine: A) Doral B) Klonopin C) ProSom D) Sonata

A typical dose of Restoril would be about: A) 2 mg. B) 7.5 mg. C) 15-30 mg. D) 50mg.

For patients with only occasional problems with sleep, they should consider: A) warm milk B) an OTC sleep aide like Tylenol PM or Sominex C) Benedryl D) any of the above

In the study mentioned in the text, what percentage of the patients with middle of the night insomnia also reported daytime fatigue? A) 34% B) 39% C) 43% D) 67%

We spend about ____% of our sleep time in stages three and four. A) 10 B) 15 C) 40 D) None of these

A mask-like devise is used by patients with OSA. It is called a ______ machine. A) splint B) CPAP C) EEG D) None of these

Sleepwalking and night terror are typically seen in approximately what percentage of the child population. A) 10% B) 15% C) 18% D) 22%

Narcolepsy is typically treated with stimulants and often ________. A) Prozac B) Ambien C) Provigil/ Nuvigil D) Intermezzo

Which does not belong with the others: A) Halcion B) ProSom C) Restoril D) Ambien

Which of the following, while sedating, may actually interfere with sleep cycles in the short run? A) antidepressants B) benzodiazepines C) Imidazopyridine D) barbiturates

Which of the following is actually an orexin receptor antagonist? A) Belsomra B) Intermezzo C) Requip D) None of these

For patients who would rather not use a benzo or BRA to improve their sleep, which of the following may be a good alternative for initial insomnia? A) Zolpimist B) trazodone C) modafinil D) Any of these